Sepsis….a second time. And news on baby Charlie Gard.

Kerissa • Jul 15, 2017

Hi friends,

Wow!!  So much has happened, but I will just go right in and try to tell you everything..

The last week of June, I started feeling very off with episodes of nausea and severe head pain (not my “normal”) all over….it even hurt to move my eyes.🙁 So on Tuesday the 27th, I decided to check my temperature.  It was 100.9 degrees…I thought that was weird and wondered if it was registering correctly.  The next day, my nurse came over for my weekly blood draw and port needle/dressing site change.  She checked my vitals like she always does.  If I remember correctly, my temp showed that it was 101.8 with her temporal thermometer.  So to make sure, she checked my temp again but this time with her  tympanic (ear) thermometer.  It registered as 102.1.  She was not expecting that.  She even checked my temp again with my own thermometer, and it was 102.4.  I told her everything and how I was feeling terrible, so she called the nurse on-call at my GI doctor’s office.  Because the clinic was almost closing by that time, my GI dr. recommended that I go to the ER in case I had an infection from my port.

I really didn’t want to go as I had 2 ER visits (see previous post) already that month alone!  But because I was feeling so bad, we agreed to head back to the ER.  I beat my record for most ER visits in a month! haha😉 Just to double-check once again, I checked my temp right before my mom and I left the house, and it was 102.7.

Thankfully, there was hardly any wait time when we arrived.  I had several tubes of blood drawn, and the doctors also ordered a chest x-ray and urinalysis to rule out a bladder infection.  The x-ray and urine tests were completely normal, so the doctor prepared me with the news that I would most likely be admitted as blood cultures take up to 48 hours (or longer) to grow.

Sadly, the hospital had no rooms available, so my first night there was spent in the ER.  I was hooked up to monitors because I had a very high heart rate.  I also had lots of IV fluids running.  I was very sleepy and felt so sick from whatever was going on.🙁 The hospital medicine dr. who came to the ER to consult said I was septic…. I couldn’t believe that my port got infected after only 5 months!

It got placed in January….and we now know that a port is not the best kind of vein access for me because I have to get accessed every single day for my IV infusions….this meant that the port needle had to stay in my chest all the time which is a higher risk for infection, even though the needle did get changed once a week.  You may think, “Doesn’t a regular central line stay in all the time, too?”  Yes, it does, but it’s not pulled out and a new one isn’t inserted every week like a port needle…each time a port needle is inserted, there’s a higher chance for bacteria to get inside…hope that makes sense. :/  Usually, patients with ports aren’t accessed every day…they may use it a few days in a week, but then the needle gets removed for a little while afterwards and is not used at all.

But back to the story..😉 The doctors now were just waiting for the cultures to grow to see what kind of bacteria this was.  And before even 48 hours went by, my blood cultures from my port started growing Staphylococcus Epidermidis.  Even my blood directly grew this bacteria which was not good at all.

At around 6 AM, I was moved to a room on 14A, and I was so grateful that it was a private one!  It even had a beautiful view (see picture above)!🙂

The infectious disease team started caring for me in addition to the hospitalists….they put me on 2 very aggressive IV antibiotics.  Early each morning around 3:30-5:30 AM, I had to get poked for blood work.  IV therapy also had to place IVs in both of my arms because the IV antibiotics (along with my regular IV nutrition and magnesium) were so hard on my veins.   It was extremely painful to infuse such strong medications in my small veins.

On Monday (7/3), the infectious disease specialist called my GI dr. to see if there was any way I could get off TPN and just do tube feeds, but my GI dr. explained how I couldn’t stop it at all because I need the nutrition, IV fluids, and magnesium.

Even while I was inpatient, the doctors ordered something called  a “calorie count” to see how many calories I eat orally in a day.  They figured out that I eat around 500 calories on average per day, and I would need to eat much more than twice that to not need TPN.

At first, Infectious Disease wanted to try and save my port (i.e., not remove it) because needing to remove and replace ports/lines means less and less vein access down the road due to scar tissue, but after consulting with my GI dr. and the hospitalists, they all agreed that it was best to remove it and place a new central line.

I had surgery that afternoon to remove my port.  It turned out to be the right decision after all—they cultured the port catheter tip, and it still came back positive for S. Epidermidis, even though I continued to be on the strong IV antibiotics.  The port surgery was rough as I had to be awake for it.🙁 My surgeon took a picture of my chest incision, and I would share it here, but it’s graphic. haha😉

Long story short, I was in the hospital for a total of 9 days.  I had surgery #16 on 7/5 to place a new Hickman central line.  I love my new line!🙂 And I pray it lasts much longer than 5 months.

This is the second time I’ve had sepsis due to a central line-associated bloodstream infection (Staphylococcus Capitis grew in my blood last year), and I wonder if it will happen once a year from now on..🙁 My doctors said it’s not a matter of “if” but “when” it will get infected again.  But I’m comforted as I know the Lord is with me every single day….my life is in His hands.  And I trust Him with my future.

I got discharged on 7/6, and I’m still doing a long routine of IV antibiotics 3x a day.  It’s so rough, and I’ve been experiencing bad vertigo as a side effect of the antibiotic.🙁 I have to wake up at midnight each day, start the antibiotic infusion, then wake up again at 1 AM to stop the infusion.  Then I have to wake up at 8 AM and do the whole routine again.  At 4 PM, I once again start the antibiotics, stop them one hour later, etc.  I can’t wait to be finished!!

I’m so thankful I didn’t have doctor appointments this week as our upstairs bathrooms are getting remodeled (it’s so very loud, and I don’t get my normal rest) on top of all this.  Next week, I do see my physical medicine dr. and my GI specialist..

Here are a few photos of my hospital stay.🙂 I already shared some on FB, but I’ll post them here as well for those who haven’t seen them.  Thank you for reading this super long post!😉 And thank you so much for praying for me.💚

P.S. I’m so thankful that the courts are now allowing Dr. Hirano (an expert in mitochondrial disease who practices in New York….I met him last year at the UMDF symposium, and he looked at one of my test results..🙂) to see and evaluate baby Charlie Gard in the U.K.  This story keeps on hitting so close to home because I have a mitochondrial DNA depletion syndrome like baby Charlie (I have a different type, tho).  Feel free to read these links that I highlighted to learn more about this precious baby.  Continuing to pray for little 11-month old Charlie and his parents!🙏🏻 #iamcharliegard #charliesfight

 

taking a short walk for the first time this hospital admission

my mom and dad surprised me with balloons and a treat!🙂

a therapy dog came to visit me, and it was so much fun!

my IV and tube feeding pumps.

feeling sore after having my new central line placed.

this is what my IV antibiotic looks like! lol

 

By Kerissa Lee 16 Apr, 2024
Read Part 1 if you missed it.  | Part 2 | Just 2 days after I was discharged from the hospital, I started experiencing severe nystagmus (shaking eyeballs) along with nausea, vomiting, and retching. I didn’t know what was happening and was again so scared. 😔 I was told to go to the ED since I wasn’t tolerating any of my oral medications. The doctors gave me IV fluids and lots of different IV anti-nausea and pain meds. They told me I needed to be admitted and talked with the neurology and internal medicine departments to see which one should admit me. But….to my dismay, both teams made a bad judgment call when they decided not to have me admitted (my mom has since talked with a patient advocate for guidance on what to do if “this” happens again). Even the ED observation unit didn’t want to take me because I was “too complex.” 🥺 I was sent home still vomiting and in so much distress (with mitochondrial disease, anything like untreated vomiting/diarrhea is a big “no-no” to put it simply because it’s a huge stress on the metabolic system). My body was really struggling, and I experienced very drooping eyelids and worsening weakness all over. The next day, I was seen by my PCP’s colleague, and after much discussion, he directly admitted me to the internal medicine floor. I’ll always be grateful to him for his quick action and the very thorough letter he wrote. There were sadly no beds available, so I waited at home. But, the following day, God was so kind to bless me with a private room that became available. Once I was inpatient, the doctors tried to get a handle on the nystagmus and vomiting. All the usual IV anti-nausea meds didn’t resolve things, so they gave me an “off-label” medication that can sometimes help nausea. That did the trick, but another issue soon arose—I started showing signs of mental confusion. I remember not being able to explain what was on my mind, and if I did talk, it didn’t make sense! For example, 2 nurses were in my room helping each other, and I made a comment about them being married. 🫠 Another instance, my family later shared that I asked them if they could see the ocean out the window. I can’t recall a lot of my time in the hospital because I was so confused.. My mom wondered if the confusion was from the off-label nausea medicine, so the team immediately discontinued it. By God’s grace, that did the trick…. Hospital life was definitely a roller coaster. You know that whack-a-mole arcade game? Once one problem ended, another popped up. After not receiving proper nutrition for many days, I started trying to eat orally again and resumed j-tube feeds, but for some reason, I wasn’t able to tolerate either like before. My stomach became so huge and distended….even with the feeding pump setting of just one teaspoon per hour. It didn’t make sense, especially since I tolerated a high rate of tube feeds two weeks earlier when I was admitted for the neurological weakness. I kept trying to increase the tube feed rate, but my GI tract didn’t tolerate it. The doctors brought up the possibility of TPN (IV nutrition). I was very discouraged and so homesick. With no progress increasing the formula rate, I did in fact have to be placed on TPN. Emotionally, it was a struggle dealing with this new problem on top of the mitochondrial crash.. 😢 Up next: Part 3…
By Kerissa Lee 13 Apr, 2024
Dear friends, It’s been almost 3 months since I last blogged.. So much happened, and it’s very hard to believe how quickly things changed. I know many already know the whole story. But for those who haven’t heard it, I will try to recap here. It’s quite the tale, but I wanted to share it on my blog to look back on because God truly carried me through the unimaginable. ❤️ When I requested urgent prayer for the sudden onset numbness and weakness in my whole left leg back in January, I had a routine follow-up already scheduled with my primary care dr. on January 25th. I was so thankful I could see him right away for this new issue. I showed him my worsening weakness, and he sent me straight to the ED to make sure I didn’t have a condition called Guillian-Barre Syndrome (GBS). While waiting for a bed to open up on the neurology floor, the muscle weakness spread to my right foot and up my right leg to the point that I could barely lift both legs up. Words can’t express how truly scared I felt that I was going paralyzed. 🥺💔 It was the hardest time of my life, and I continually wept, not just because of the physical pain (which was the worst leg pain I’ve ever experienced) but also because of the emotional distress.. The “foot drop” in both feet was so severe that my soles were almost parallel to the hospital bed when laying down. It was devastating. Due to the weakness, I couldn’t even walk to the bathroom and had to use a bed pan. The team was concerned about possible heart/lung issues, so I had to be placed on a continuous cardiac telemetry monitor (which is different than the standard one). Twice, they asked me if I’d be okay with life-saving measures like getting intubated (placed on a ventilator) if the weakness kept spreading like it was.. I underwent countless neurological exams by nurses, medical students, residents, and attending neurologists. To rule out GBS, a spinal tap had to be done as well as extensive brain and spinal MRIs (cervical, thoracic, lumbar, and sacral). Not feeling well, it was incredibly difficult to lay in the very narrow MRI tube for more than 2 1/2 hours without a break. When GBS was ruled out, we still didn’t know what was causing the weakness. To be honest, in a way, I WANTED to have GBS because they explained GBS has a good treatment. So, not knowing the outcome and prognosis was very hard. 😢 Looking back, I remember how I shared a verse from Isaiah when I wrote my “2023 reflections” blog post at the beginning of this year: “Let him who walks in darkness and has no light trust in the name of the Lord and rely on his God” (Isaiah 50:10). When I posted that on January 1st, I never could have imagined how dark life would get. I knew God had a plan, but I was still so terrified. And there was nothing I could do but trust him (even though my faith felt so weak while in the thick of it). I cried so much and struggled with great fear. But in the midst of that dark time, I thought of a well-known passage from 2 Corinthians: “So we do not lose heart. Though our outer self is wasting away, our inner self is being renewed day by day. For this light momentary affliction is preparing for us an eternal weight of glory beyond all comparison…” (2 Corinthians 4:16-17). A phrase stood out to me: “light momentary affliction.” This trial weighed heavily on my shoulders….it definitely didn’t feel “light” OR “momentary.” I had so many questions. Could I surrender all and trust that God has my best interests at heart? I prayed that he would grant me the eyes to see everything from an eternal perspective and use this hard time for his glory and good purposes. After spending 9 days on the neuro floor, I was sent home.. The neuro team attributed this whole event to a “very unusual mitochondrial crash.” And only time would tell how I would recover. Up next: Part 2…
By Kerissa Lee 23 Jan, 2024
Hi, friends, I had a whole other post ready to go with some good news, but instead, I have an urgent prayer request. I started experiencing sudden onset numbness, tingling, and weakness in my whole left leg, and it’s been so scary. 🥺 It just came on out of the blue. I was doing so well with physical therapy each week (able to walk fast on the treadmill and leg press 40 lbs), and now, I have to limp because my left leg is soo weak. I really want to avoid the ED as much as possible, so I saw one of my doctors today. She’s concerned I’m having a big motor nerve issue. 😭 The plan is to see a physical medicine specialist, have a nerve conduction study, get an urgent MRI done, as well as see my PCP and pain doctor on the 25th and 29th for further evaluation/testing. I know I already said this, but it really has been so scary to lose function so quickly. Can you pray that I will trust the Lord and not worry? It’s been very hard, so I’d really appreciate your prayers and support in the coming weeks. Thank you so much. ❤️
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